Organization Active NPI

Mind Body Integrative Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Hendersonville, NC
National Provider Identifier
1437689551
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5600 Issued in NC
Legal business name
MIND BODY INTEGRATIVE PHYSICAL THERAPY LLC
Practice address
170 Old Naples Rd Ste a
Hendersonville, NC 28792-8613
Phone
(828) 513-5091
Fax
(828) 513-5095
NPI assigned
Jun 13, 2017
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Bonnie Soulinee Goetsch, PTNPI 1881838258
Title
Owner
Phone
(828) 513-5091

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5600 NC Primary

Addresses

Primary practice location

170 Old Naples Rd Ste a
Hendersonville, NC 28792-8613

Mailing address

170 Old Naples Rd Ste a
Hendersonville, NC 28792-8613
Phone (828) 513-5091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Webpt

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017003569 NC Part B Supplier - Clinic/Group Practice 2860768983 Receives reassigned benefits from 1 practitioner
Practice locations: Fletcher, NC

National Provider Directory

National Provider Directory

Locations

1531 Haywood Rd
Hendersonville, NC 28791
Phone (828) 513-5091

224 S Grove St
Ste L
Hendersonville, NC 28792
Phone (828) 513-5091

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1437689551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OLD NAPLES RD STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287928613",
            "telephone_number": "828-513-5091",
            "fax_number": "828-513-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD NAPLES RD STE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287928613",
            "telephone_number": "828-513-5091",
            "fax_number": "828-513-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY INTEGRATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "SOULINEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-513-5091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webpt",
            "affiliation": "N",
            "address_1": "170 Old Naples Rd Ste A",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287928613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.